Coquinone 30 Ingredients & Drug Interactions
by USANA
What is this page for?
First and foremost: checking Coquinone 30 against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Coquinone 30 is a dietary supplement by USANA with 2 active ingredients. Its ingredients are commonly taken for diabetic nerve pain (neuropathy), blood sugar support in diabetes, antioxidant support.Based on those ingredients, 430 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Alpha-Lipoic Acid, Coenzyme Q10. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Coquinone 30 by USANA
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HelloPharmacist Scorecard of Coquinone 30 by USANA
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
Coquinone 30 contains 2 active ingredients: alpha-lipoic acid and coenzyme Q10. Alpha-lipoic acid is an antioxidant compound your body naturally produces; it plays a role in energy metabolism and may help protect cells from oxidative stress.
Coenzyme Q10 is another naturally occurring antioxidant that's especially concentrated in your heart and muscle cells and is involved in energy production within your cells. The softgel also contains several inactive ingredients — medium-chain triglycerides, gelatin, glycerin monooleate, soy lecithin, glycerin, purified water, annatto seed extract, and titanium dioxide — that serve as the capsule shell and help deliver the actives.
Does it work?
Strong evidence
Alpha-lipoic acid is possibly effective for diabetic nerve pain (diabetic neuropathy), high cholesterol (hyperlipidemia), and weight management (obesity). Coenzyme Q10 is likely effective for coenzyme Q10 deficiency and possibly effective for fibromyalgia, migraine headache, heart failure, and diabetic nerve pain.
The evidence for both ingredients is strongest in these specific areas; for other uses, the data we hold doesn't support effectiveness claims.
How safe is it?
Well-documented data
Both ingredients are generally well tolerated by most adults when taken as directed. Alpha-lipoic acid's most common side effects from oral use are headache, heartburn, nausea, and vomiting; it can also lower blood sugar, so it's best used under medical guidance if you have diabetes.
Coenzyme Q10 can cause gastrointestinal upset — appetite loss, diarrhea, heartburn, nausea, or vomiting — though these effects occur in less than 1% of people and may be reduced by dividing doses above 100 mg throughout the day. Rare reports include headache, dizziness, and insomnia.
Alpha-lipoic acid safety data in pregnancy is insufficient, so the safety data advises against use during pregnancy; the same applies to breastfeeding. Coenzyme Q10 safety in pregnancy has not been established — talk with your doctor or pharmacist for personalized advice.
Breastfeeding safety for CoQ10 hasn't been well studied; check with your doctor before use if you're nursing.
Meds to double-check
Moderate interaction found
Before taking Coquinone 30, double-check with your doctor or pharmacist if you're on blood thinners or antiplatelet drugs — alpha-lipoic acid may increase bleeding risk. If you're undergoing chemotherapy (alkylating agents or antitumor antibiotics), taking thyroid hormone, diabetes medication, or blood pressure medication, also confirm it's safe to combine with this product, since documented interactions exist for each of those categories.
The bottom line
Scorecard at a glanceFully disclosed formula with strong clinical evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
Coquinone 30 may be worth considering if you're looking to address diabetic nerve pain, high cholesterol, or migraine headaches — those uses have the most research support. However, if you're on blood thinners (especially warfarin), chemotherapy, thyroid medication, or diabetes drugs, you'll need to check with your doctor or pharmacist before starting it, because the interactions documented here could affect how those medications work.
The same goes if you're pregnant, breastfeeding, or planning to become pregnant.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Nov 21, 2019.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Coquinone 30, straight from the product label.
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Coquinone 30 by USANA, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Alpha-Lipoic Acid | 13 mg | -- |
| Coenzyme Q10 | 30 mg | -- |
Other ingredients: Medium Chain Triglycerides, Gelatin, Glycerin Monooleate, Soy Lecithin, Glycerin, purified Water, Annatto seed extract, Titanium Dioxide
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Seals/Symbols
Potency Guaranteed
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Directions: Take one (1) or two (2) capsules daily, preferably with food.
Formula
Contains: Soy.
Precautions
Contains: Soy.
Keep out of reach of children.
Consult your physician if you are pregnant, nursing, taking a prescription drug, or have a medical condition.
There is a safety seal under the cap. Do not use if the seal is broken or missing.
General Statements
Laboratory tested, quality guaranteed. Meets USP specification for uniformity, potency, and disintegration where applicable.
Storage
Store below 25(0) C
General
123.010101 LB.001233
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Coquinone 30 by USANA label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Coquinone 30 by USANA
These are the 2 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Capsule(s) Dosage formSoftgel Capsule Servings per container56 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Alpha-Lipoic Acid
Interacts with263 drugs
Alpha-lipoic acid (ALA) is an antioxidant made naturally by the body and found in small amounts in foods. It is most studied for diabetic nerve pain,...
Alpha-Lipoic Acid monograph & interactionsCoenzyme Q10
Interacts with198 drugs
CoQ10 is a vitamin-like substance your body makes naturally that helps cells produce energy and acts as an antioxidant. It is generally well tolerated...
Coenzyme Q10 monograph & interactionsOther (inactive) ingredients: Medium Chain Triglycerides, Gelatin, Glycerin Monooleate, Soy Lecithin, Glycerin, Purified Water, Annatto seed extract, Titanium Dioxide. These complete the product’s ingredient list but are not active constituents.
Coquinone 30 by USANA Drug Interactions
HelloPharmacist Interaction Report
Coquinone 30 from USANA contains two active ingredients — alpha-lipoic acid and coenzyme Q10 — that together interact with medications across several categories.
The most serious concern is moderate-severity: alpha-lipoic acid may increase bleeding risk if you're taking blood thinners or antiplatelet drugs (like warfarin, aspirin, or clopidogrel).
Read the full breakdown — every affected drug type, severity by severity
Both ingredients have moderate interactions with chemotherapy drugs. Alpha-lipoic acid's antioxidant effects might reduce how well alkylating agents and antitumor antibiotics work, since those drugs rely on generating free radicals to kill cancer cells.
Coenzyme Q10 carries the same concern with alkylating agents. Additionally, coenzyme Q10 could theoretically decrease warfarin's blood-thinning effect — four cases of reduced warfarin effectiveness have been reported.
Alpha-lipoic acid may also lower thyroid hormone drug effectiveness and theoretically increase low blood sugar (hypoglycemia) risk with diabetes medications, though this is minor-severity.
Coenzyme Q10 carries a minor interaction with blood pressure medications; some research shows it can lower blood pressure on its own, so the combination might push it too low.
Although we've covered the main interactions documented, run your exact medications through the search tool on this page to catch anything we may have missed.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Coquinone 30?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Coquinone 30 interact with 430 drugs. Click any drug to see the details.
2 of the 2 ingredients in Coquinone 30 interact with drugs. Each result below shows which ingredient is responsible. Alpha-Lipoic Acid Coenzyme Q10
CilostazolPletal
How Cilostazol interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Cilostazol interactionCisplatinPlatinol-AQ
How Cisplatin interacts with Coquinone 30 — through 2 ingredients. Tap an ingredient for the detail:
Alpha-lipoic AcidAlkylating Agents Moderate
Interaction Summary
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of alkylating agents.
Read the full Alpha-lipoic Acid + Cisplatin interactionCoenzyme Q10Alkylating Agents Moderate
Interaction Summary
Coenzyme Q10 has antioxidant effects.
Read the full Coenzyme Q10 + Cisplatin interactionClopidogrelPlavix
How Clopidogrel interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Clopidogrel interactionConjugated EstrogensCenestin, Enjuvia, Premarin, Premarin Vaginal Cream
How Conjugated Estrogens interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidThyroid Hormone Moderate
Interaction Summary
Theoretically, alpha-lipoic acid might decrease the effects of thyroid hormone drugs.
Read the full Alpha-lipoic Acid + Conjugated Estrogens interactionCyclophosphamideCytoxan, Neosar
How Cyclophosphamide interacts with Coquinone 30 — through 2 ingredients. Tap an ingredient for the detail:
Coenzyme Q10Alkylating Agents Moderate
Interaction Summary
Coenzyme Q10 has antioxidant effects.
Read the full Coenzyme Q10 + Cyclophosphamide interactionAlpha-lipoic AcidAlkylating Agents Moderate
Interaction Summary
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of alkylating agents.
Read the full Alpha-lipoic Acid + Cyclophosphamide interactionDacarbazineDTIC-Dome
How Dacarbazine interacts with Coquinone 30 — through 2 ingredients. Tap an ingredient for the detail:
Alpha-lipoic AcidAlkylating Agents Moderate
Interaction Summary
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of alkylating agents.
Read the full Alpha-lipoic Acid + Dacarbazine interactionCoenzyme Q10Alkylating Agents Moderate
Interaction Summary
Coenzyme Q10 has antioxidant effects.
Read the full Coenzyme Q10 + Dacarbazine interactionDactinomycinCosmegan, Cosmegen
How Dactinomycin interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAntitumor Antibiotics Moderate
Interaction Summary
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of antitumor antibiotics.
Read the full Alpha-lipoic Acid + Dactinomycin interactionDalteparinFragmin
How Dalteparin interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Dalteparin interactionDanaparoidOrgaran
How Danaparoid interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Danaparoid interactionDaunorubicin CitrateDaunoXome
How Daunorubicin Citrate interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAntitumor Antibiotics Moderate
Interaction Summary
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of antitumor antibiotics.
Read the full Alpha-lipoic Acid + Daunorubicin Citrate interactionDaunorubicin HydrochlorideCerubidine
How Daunorubicin Hydrochloride interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAntitumor Antibiotics Moderate
Interaction Summary
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of antitumor antibiotics.
Read the full Alpha-lipoic Acid + Daunorubicin Hydrochloride interactionDaunorubicin, CytarabineVyxeos
How Daunorubicin, Cytarabine interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAntitumor Antibiotics Moderate
Interaction Summary
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of antitumor antibiotics.
Read the full Alpha-lipoic Acid + Daunorubicin, Cytarabine interactionDefibrotide SodiumDefitelio
How Defibrotide Sodium interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Defibrotide Sodium interactionDesiccated Thyroid ExtractWesthroid, WP Thyroid
How Desiccated Thyroid Extract interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidThyroid Hormone Moderate
Interaction Summary
Theoretically, alpha-lipoic acid might decrease the effects of thyroid hormone drugs.
Read the full Alpha-lipoic Acid + Desiccated Thyroid Extract interactionDesiccated Thyroid Extract (prescription Drug)Nature-Throid, Thyrar
How Desiccated Thyroid Extract (prescription Drug) interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidThyroid Hormone Moderate
Interaction Summary
Theoretically, alpha-lipoic acid might decrease the effects of thyroid hormone drugs.
Read the full Alpha-lipoic Acid + Desiccated Thyroid Extract (prescription Drug) interactionDextrothyroxineCholoxin
How Dextrothyroxine interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidThyroid Hormone Moderate
Interaction Summary
Theoretically, alpha-lipoic acid might decrease the effects of thyroid hormone drugs.
Read the full Alpha-lipoic Acid + Dextrothyroxine interactionDiclofenacZorvolex
How Diclofenac interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Diclofenac interactionDiclofenac PotassiumCambia, Cataflam, Cataflam IR, Voltaren Rapide, Voltarol Rapid
How Diclofenac Potassium interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Diclofenac Potassium interactionDiclofenac SodiumAcoflam, Acoflam 75 SR, Acoflam Retard, Defenac, Defenac Retard, Defenac SR +40 more
How Diclofenac Sodium interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Diclofenac Sodium interactionDiclofenac Sodium, MisoprostolArthrotec 50, Arthrotec 75
How Diclofenac Sodium, Misoprostol interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Diclofenac Sodium, Misoprostol interactionDiclofenac EpolamineFlector, Licart
How Diclofenac Epolamine interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Diclofenac Epolamine interactionDicumarolDicumarol
How Dicumarol interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Dicumarol interactionDiphenhydramine Hydrochloride, Naproxen SodiumAleve PM
How Diphenhydramine Hydrochloride, Naproxen Sodium interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Diphenhydramine Hydrochloride, Naproxen Sodium interactionDipyridamoleDipyridamole, Persantin, Persantin Injection, Persantin Retard, Persantine
How Dipyridamole interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Dipyridamole interactionDoripenemDoribax
How Doripenem interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAntitumor Antibiotics Moderate
Interaction Summary
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of antitumor antibiotics.
Read the full Alpha-lipoic Acid + Doripenem interactionDoxorubicinAdriamycin, Caelyx, Doxil, Myocet, Rubex
How Doxorubicin interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAntitumor Antibiotics Moderate
Interaction Summary
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of antitumor antibiotics.
Read the full Alpha-lipoic Acid + Doxorubicin interactionEdoxabanSavaysa
How Edoxaban interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Edoxaban interactionEffientPrasugrel
How Effient interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Effient interactionEnoxaparinLovenox
How Enoxaparin interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAnticoagulant/antiplatelet Drugs Moderate
Interaction Summary
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
Read the full Alpha-lipoic Acid + Enoxaparin interactionEpirubicinEllence
How Epirubicin interacts with Coquinone 30 — through 1 ingredient. Tap an ingredient for the detail:
Alpha-lipoic AcidAntitumor Antibiotics Moderate
Interaction Summary
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of antitumor antibiotics.
Read the full Alpha-lipoic Acid + Epirubicin interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Coquinone 30 with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Alpha-Lipoic Acid
Alkylating Agents
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of alkylating agents.
The use of antioxidants like alpha-lipoic acid during chemotherapy is controversial. There are concerns that antioxidants could reduce the activity of chemotherapy drugs that generate free radicals. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as alpha-lipoic acid have on chemotherapy. Advise patients to consult their oncologist before using alpha-lipoic acid.
Anticoagulant/Antiplatelet Drugs
Theoretically, alpha-lipoic acid may have antiplatelet effects and may increase the risk of bleeding if used with anticoagulant or antiplatelet drugs.
In vitro, alpha-lipoic acid inhibits platelet aggregation.
Antitumor Antibiotics
Theoretically, the antioxidant effects of alpha-lipoic acid might alter the effectiveness of antitumor antibiotics.
The use of antioxidants like alpha-lipoic acid during chemotherapy is controversial. There are concerns that antioxidants could reduce the activity of antitumor antibiotic drugs, which work by generating free radicals. However, some researchers theorize that antioxidants might make chemotherapy more effective by reducing oxidative stress that might interfere with apoptosis (cell death) of cancer cells. More evidence is needed to determine what effect, if any, antioxidants such as alpha-lipoic acid have on chemotherapy involving antitumor antibiotics. Advise patients to consult their oncologist before using alpha-lipoic acid.
Thyroid Hormone
Theoretically, alpha-lipoic acid might decrease the effects of thyroid hormone drugs.
Animal research suggests that co-administration of thyroxine with alpha-lipoic acid reduces conversion into the active T3 form.
Antidiabetes Drugs
Theoretically, taking alpha-lipoic acid with antidiabetes drugs might increase the risk of hypoglycemia.
Although some small clinical studies have suggested that alpha-lipoic acid can lower blood glucose levels, larger clinical studies in patients with diabetes have shown no clinically meaningful effect. Additionally, co-administration of single doses of alpha-lipoic acid and glyburide or acarbose did not cause detectable drug interactions in healthy volunteers.
Coenzyme Q10
Alkylating Agents
Coenzyme Q10 has antioxidant effects. Theoretically, this may reduce the activity of chemotherapy drugs that generate free radicals.
Theoretically, antioxidants such as coenzyme Q10 might protect tumor cells from chemotherapeutic agents that work by inducing oxidative stress, such as alkylating agents (e.g., cyclophosphamide) and radiation therapy. The clinical importance of this interaction is unknown.
Warfarin (Coumadin)
Coenzyme Q10 is chemically similar to menaquinone and might have vitamin K-like procoagulant effects, which could decrease the effects of warfarin.
Concomitant use of coenzyme Q10 and warfarin might reduce the anticoagulant effects of warfarin. Four cases of decreased warfarin efficacy thought to be due to coenzyme Q10 have been reported. However, there is some preliminary clinical research that suggests coenzyme Q10 might not significantly decrease the effects of warfarin in patients who have a stable INR.
Antihypertensive Drugs
Theoretically, coenzyme Q10 might have additive effects with antihypertensive drugs.
Some clinical research shows that coenzyme Q10 can significantly lower blood pressure, although other studies have shown conflicting results.
Brand information
Manufacturer and brand details for Coquinone 30, from the product label.
USANA
See all USANA products- Name
- USANA Health Sciences, Inc.
- Street Address
- 3838 W. Parkway Blvd.
- City
- Salt Lake City
- State
- Utah
- ZipCode
- 84120
Coquinone 30 by USANA: Common Questions
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Coquinone 30 is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.
The Full Monographs Behind Coquinone 30’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Alpha-lipoic Acid
Interacts with 263 drugsAlpha-lipoic acid (ALA) is an antioxidant made naturally by the body and found in small amounts in foods. It is most studied for diabetic nerve pain, where some evidence suggests it may help...
Read the full Alpha-lipoic Acid monograph → Herb & supplement monographCoenzyme Q10
Interacts with 198 drugsCoQ10 is a vitamin-like substance your body makes naturally that helps cells produce energy and acts as an antioxidant. It is generally well tolerated and is most studied for heart condition...
Read the full Coenzyme Q10 monograph →Sources & How We Checked
Coquinone 30's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 88 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Alpha-lipoic Acid 48 references
- Labriola D, Livingston R. Possible interactions between dietary antioxidants and chemotherapy. Oncology 1999;13:1003-8.
- Anon. Alpha-lipoic acid. Altern Med Rev 1998;3:308-10.
- Konrad T, Vicini P, Kusterer K, et al. Alpha-lipoic acid treatment decreases serum lactate and pyruvate concentrations and improves glucose effectiveness in lean and obese patients with Type 2 diabetes. Diabetes Care 1999;22:280-7. PubMed
- Ziegler D, Hanefeld M, Ruhnau KJ, et al. Treatment of symptomatic diabetic peripheral neuropathy with the antioxidant alpha-lipoic acid: A 3-week, multicentre randomized controlled trial (ALADIN Study). Diabetologia 1995;38:1425-33.
- Gleiter CH, Schreeb KH, Freudenthaler S, et al. Lack of interaction between thioctic acid, glibenclamide and acarbose. Br J Clin Pharmacol 1999;48:819-25. PubMed
- Jacob S, Henriksen EJ, Tritschler HJ, et al. Improvement of insulin-stimulated glucose-disposal in type 2 diabetes after repeated parenteral administration of thioctic acid. Exp Clin Endocrinol Diabet 1996;104:284-8. PubMed
- Jacob S, Henriksen EJ, Schiemann AL, et al. Enhancement of glucose disposal in patients with type 2 diabetes by alpha-lipoic acid. Arzneimittelforschung 1995;45:872-4.
- Jacob S, Ruus P, Hermann R, et al. Oral administration of RAC-alpha-lipoic acid modulates insulin sensitivity in patients with type-2 diabetes mellitus: a placebo-controlled, pilot trial. Free Rad Biol Med 1999;27:309-14.
- Segermann J, Hotze A, Ulrich H, Rao GS. Effect of alpha-lipoic acid on the peripheral conversion of thyroxine to triiodothyronine and on serum lipid-, protein- and glucose levels. Arzneimittelforschung 1991;41:1294-8.
- Beitner H. Randomized, placebo controlled, double-blind study on the clinical efficacy of a cream containing 5% alpha-lipoic acid related to photoaging of facial skin. Br J Dermatol 2003;149:841-9.
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